Cyber Security Association of India Individual Membership Form 
Individual Category
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Name in Block Letters *
Father’s Name/ Husband’s Name *
Address for correspondence:   *
Academic & Professional Qualifications *
Professional Experience *
Present Occupation /Designation *
Primary Field of Interest (please suggest any 3) *
Contact number / Mobile Phone *
Email Id *
Payment of Individual Membership to be made Via *
Request first please submit the form below then same payment link will be displayed for online payment along with other options - 

Payment of Individual Membership i.e Rs 5,000 plus 18% GST to be paid i.e Rs 5,900 (Five Thousand Nine Hundred Only)

For Online payment please visit https://rzp.io/i/hXRyeyS0s   
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Notes:
Individual member is for individual pursuing Cyber as passion/hobby/research and not for any employee of company/corporate. Hence individual members are not supposed to represent any company. They are debarred to give any company/corporate visiting cards during CSAI/TEM/CMAI events. They should not expect any support to their companies /corporates.
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